|
APR-DRG 42.00: CHRONIC KIDNEY DISEASE
|
Facility
|
IP
|
$2,793.61
|
|
|
Service Code
|
APR-DRG 4701
|
| Min. Negotiated Rate |
$2,660.58 |
| Max. Negotiated Rate |
$2,793.61 |
| Rate for Payer: BCBS Complete |
$2,793.61
|
| Rate for Payer: Mclaren Medicaid |
$2,660.58
|
| Rate for Payer: Meridian Medicaid |
$2,793.61
|
| Rate for Payer: PHP Medicaid |
$2,660.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,660.58
|
| Rate for Payer: UHCCP Medicaid |
$2,660.58
|
|
|
APR-DRG 42.00: CHRONIC KIDNEY DISEASE
|
Facility
|
IP
|
$11,019.24
|
|
|
Service Code
|
APR-DRG 4704
|
| Min. Negotiated Rate |
$10,494.51 |
| Max. Negotiated Rate |
$11,019.24 |
| Rate for Payer: BCBS Complete |
$11,019.24
|
| Rate for Payer: Mclaren Medicaid |
$10,494.51
|
| Rate for Payer: Meridian Medicaid |
$11,019.24
|
| Rate for Payer: PHP Medicaid |
$10,494.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,494.51
|
| Rate for Payer: UHCCP Medicaid |
$10,494.51
|
|
|
APR-DRG 42.00: CHRONIC KIDNEY DISEASE
|
Facility
|
IP
|
$3,828.28
|
|
|
Service Code
|
APR-DRG 4702
|
| Min. Negotiated Rate |
$3,645.98 |
| Max. Negotiated Rate |
$3,828.28 |
| Rate for Payer: BCBS Complete |
$3,828.28
|
| Rate for Payer: Mclaren Medicaid |
$3,645.98
|
| Rate for Payer: Meridian Medicaid |
$3,828.28
|
| Rate for Payer: PHP Medicaid |
$3,645.98
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,645.98
|
| Rate for Payer: UHCCP Medicaid |
$3,645.98
|
|
|
APR-DRG 42.00: CHRONIC KIDNEY DISEASE
|
Facility
|
IP
|
$6,052.82
|
|
|
Service Code
|
APR-DRG 4703
|
| Min. Negotiated Rate |
$5,764.59 |
| Max. Negotiated Rate |
$6,052.82 |
| Rate for Payer: BCBS Complete |
$6,052.82
|
| Rate for Payer: Mclaren Medicaid |
$5,764.59
|
| Rate for Payer: Meridian Medicaid |
$6,052.82
|
| Rate for Payer: PHP Medicaid |
$5,764.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,764.59
|
| Rate for Payer: UHCCP Medicaid |
$5,764.59
|
|
|
APR-DRG 42.00: CHRONIC OBSTRUCTIVE PULMONARY DISEASE
|
Facility
|
IP
|
$8,225.63
|
|
|
Service Code
|
APR-DRG 1404
|
| Min. Negotiated Rate |
$7,833.93 |
| Max. Negotiated Rate |
$8,225.63 |
| Rate for Payer: BCBS Complete |
$8,225.63
|
| Rate for Payer: Mclaren Medicaid |
$7,833.93
|
| Rate for Payer: Meridian Medicaid |
$8,225.63
|
| Rate for Payer: PHP Medicaid |
$7,833.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,833.93
|
| Rate for Payer: UHCCP Medicaid |
$7,833.93
|
|
|
APR-DRG 42.00: CHRONIC OBSTRUCTIVE PULMONARY DISEASE
|
Facility
|
IP
|
$4,656.02
|
|
|
Service Code
|
APR-DRG 1403
|
| Min. Negotiated Rate |
$4,434.30 |
| Max. Negotiated Rate |
$4,656.02 |
| Rate for Payer: BCBS Complete |
$4,656.02
|
| Rate for Payer: Mclaren Medicaid |
$4,434.30
|
| Rate for Payer: Meridian Medicaid |
$4,656.02
|
| Rate for Payer: PHP Medicaid |
$4,434.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,434.30
|
| Rate for Payer: UHCCP Medicaid |
$4,434.30
|
|
|
APR-DRG 42.00: CHRONIC OBSTRUCTIVE PULMONARY DISEASE
|
Facility
|
IP
|
$2,793.61
|
|
|
Service Code
|
APR-DRG 1401
|
| Min. Negotiated Rate |
$2,660.58 |
| Max. Negotiated Rate |
$2,793.61 |
| Rate for Payer: BCBS Complete |
$2,793.61
|
| Rate for Payer: Mclaren Medicaid |
$2,660.58
|
| Rate for Payer: Meridian Medicaid |
$2,793.61
|
| Rate for Payer: PHP Medicaid |
$2,660.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,660.58
|
| Rate for Payer: UHCCP Medicaid |
$2,660.58
|
|
|
APR-DRG 42.00: CHRONIC OBSTRUCTIVE PULMONARY DISEASE
|
Facility
|
IP
|
$3,414.41
|
|
|
Service Code
|
APR-DRG 1402
|
| Min. Negotiated Rate |
$3,251.82 |
| Max. Negotiated Rate |
$3,414.41 |
| Rate for Payer: BCBS Complete |
$3,414.41
|
| Rate for Payer: Mclaren Medicaid |
$3,251.82
|
| Rate for Payer: Meridian Medicaid |
$3,414.41
|
| Rate for Payer: PHP Medicaid |
$3,251.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,251.82
|
| Rate for Payer: UHCCP Medicaid |
$3,251.82
|
|
|
APR-DRG 42.00: CLEFT LIP AND PALATE REPAIR
|
Facility
|
IP
|
$8,329.09
|
|
|
Service Code
|
APR-DRG 0953
|
| Min. Negotiated Rate |
$7,932.47 |
| Max. Negotiated Rate |
$8,329.09 |
| Rate for Payer: BCBS Complete |
$8,329.09
|
| Rate for Payer: Mclaren Medicaid |
$7,932.47
|
| Rate for Payer: Meridian Medicaid |
$8,329.09
|
| Rate for Payer: PHP Medicaid |
$7,932.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,932.47
|
| Rate for Payer: UHCCP Medicaid |
$7,932.47
|
|
|
APR-DRG 42.00: CLEFT LIP AND PALATE REPAIR
|
Facility
|
IP
|
$17,278.99
|
|
|
Service Code
|
APR-DRG 0954
|
| Min. Negotiated Rate |
$16,456.18 |
| Max. Negotiated Rate |
$17,278.99 |
| Rate for Payer: BCBS Complete |
$17,278.99
|
| Rate for Payer: Mclaren Medicaid |
$16,456.18
|
| Rate for Payer: Meridian Medicaid |
$17,278.99
|
| Rate for Payer: PHP Medicaid |
$16,456.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,456.18
|
| Rate for Payer: UHCCP Medicaid |
$16,456.18
|
|
|
APR-DRG 42.00: CLEFT LIP AND PALATE REPAIR
|
Facility
|
IP
|
$4,914.68
|
|
|
Service Code
|
APR-DRG 0951
|
| Min. Negotiated Rate |
$4,680.65 |
| Max. Negotiated Rate |
$4,914.68 |
| Rate for Payer: BCBS Complete |
$4,914.68
|
| Rate for Payer: Mclaren Medicaid |
$4,680.65
|
| Rate for Payer: Meridian Medicaid |
$4,914.68
|
| Rate for Payer: PHP Medicaid |
$4,680.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,680.65
|
| Rate for Payer: UHCCP Medicaid |
$4,680.65
|
|
|
APR-DRG 42.00: CLEFT LIP AND PALATE REPAIR
|
Facility
|
IP
|
$5,225.08
|
|
|
Service Code
|
APR-DRG 0952
|
| Min. Negotiated Rate |
$4,976.27 |
| Max. Negotiated Rate |
$5,225.08 |
| Rate for Payer: BCBS Complete |
$5,225.08
|
| Rate for Payer: Mclaren Medicaid |
$4,976.27
|
| Rate for Payer: Meridian Medicaid |
$5,225.08
|
| Rate for Payer: PHP Medicaid |
$4,976.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,976.27
|
| Rate for Payer: UHCCP Medicaid |
$4,976.27
|
|
|
APR-DRG 42.00: COAGULATION AND PLATELET DISORDERS
|
Facility
|
IP
|
$8,432.56
|
|
|
Service Code
|
APR-DRG 6613
|
| Min. Negotiated Rate |
$8,031.01 |
| Max. Negotiated Rate |
$8,432.56 |
| Rate for Payer: BCBS Complete |
$8,432.56
|
| Rate for Payer: Mclaren Medicaid |
$8,031.01
|
| Rate for Payer: Meridian Medicaid |
$8,432.56
|
| Rate for Payer: PHP Medicaid |
$8,031.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,031.01
|
| Rate for Payer: UHCCP Medicaid |
$8,031.01
|
|
|
APR-DRG 42.00: COAGULATION AND PLATELET DISORDERS
|
Facility
|
IP
|
$13,450.71
|
|
|
Service Code
|
APR-DRG 6614
|
| Min. Negotiated Rate |
$12,810.20 |
| Max. Negotiated Rate |
$13,450.71 |
| Rate for Payer: BCBS Complete |
$13,450.71
|
| Rate for Payer: Mclaren Medicaid |
$12,810.20
|
| Rate for Payer: Meridian Medicaid |
$13,450.71
|
| Rate for Payer: PHP Medicaid |
$12,810.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,810.20
|
| Rate for Payer: UHCCP Medicaid |
$12,810.20
|
|
|
APR-DRG 42.00: COAGULATION AND PLATELET DISORDERS
|
Facility
|
IP
|
$5,845.89
|
|
|
Service Code
|
APR-DRG 6612
|
| Min. Negotiated Rate |
$5,567.51 |
| Max. Negotiated Rate |
$5,845.89 |
| Rate for Payer: BCBS Complete |
$5,845.89
|
| Rate for Payer: Mclaren Medicaid |
$5,567.51
|
| Rate for Payer: Meridian Medicaid |
$5,845.89
|
| Rate for Payer: PHP Medicaid |
$5,567.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,567.51
|
| Rate for Payer: UHCCP Medicaid |
$5,567.51
|
|
|
APR-DRG 42.00: COAGULATION AND PLATELET DISORDERS
|
Facility
|
IP
|
$4,242.15
|
|
|
Service Code
|
APR-DRG 6611
|
| Min. Negotiated Rate |
$4,040.14 |
| Max. Negotiated Rate |
$4,242.15 |
| Rate for Payer: BCBS Complete |
$4,242.15
|
| Rate for Payer: Mclaren Medicaid |
$4,040.14
|
| Rate for Payer: Meridian Medicaid |
$4,242.15
|
| Rate for Payer: PHP Medicaid |
$4,040.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,040.14
|
| Rate for Payer: UHCCP Medicaid |
$4,040.14
|
|
|
APR-DRG 42.00: COCAINE ABUSE AND DEPENDENCE
|
Facility
|
IP
|
$2,431.47
|
|
|
Service Code
|
APR-DRG 7742
|
| Min. Negotiated Rate |
$2,315.69 |
| Max. Negotiated Rate |
$2,431.47 |
| Rate for Payer: BCBS Complete |
$2,431.47
|
| Rate for Payer: Mclaren Medicaid |
$2,315.69
|
| Rate for Payer: Meridian Medicaid |
$2,431.47
|
| Rate for Payer: PHP Medicaid |
$2,315.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,315.69
|
| Rate for Payer: UHCCP Medicaid |
$2,315.69
|
|
|
APR-DRG 42.00: COCAINE ABUSE AND DEPENDENCE
|
Facility
|
IP
|
$1,810.67
|
|
|
Service Code
|
APR-DRG 7741
|
| Min. Negotiated Rate |
$1,724.45 |
| Max. Negotiated Rate |
$1,810.67 |
| Rate for Payer: BCBS Complete |
$1,810.67
|
| Rate for Payer: Mclaren Medicaid |
$1,724.45
|
| Rate for Payer: Meridian Medicaid |
$1,810.67
|
| Rate for Payer: PHP Medicaid |
$1,724.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,724.45
|
| Rate for Payer: UHCCP Medicaid |
$1,724.45
|
|
|
APR-DRG 42.00: COCAINE ABUSE AND DEPENDENCE
|
Facility
|
IP
|
$10,553.63
|
|
|
Service Code
|
APR-DRG 7744
|
| Min. Negotiated Rate |
$10,051.08 |
| Max. Negotiated Rate |
$10,553.63 |
| Rate for Payer: BCBS Complete |
$10,553.63
|
| Rate for Payer: Mclaren Medicaid |
$10,051.08
|
| Rate for Payer: Meridian Medicaid |
$10,553.63
|
| Rate for Payer: PHP Medicaid |
$10,051.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,051.08
|
| Rate for Payer: UHCCP Medicaid |
$10,051.08
|
|
|
APR-DRG 42.00: COCAINE ABUSE AND DEPENDENCE
|
Facility
|
IP
|
$4,242.15
|
|
|
Service Code
|
APR-DRG 7743
|
| Min. Negotiated Rate |
$4,040.14 |
| Max. Negotiated Rate |
$4,242.15 |
| Rate for Payer: BCBS Complete |
$4,242.15
|
| Rate for Payer: Mclaren Medicaid |
$4,040.14
|
| Rate for Payer: Meridian Medicaid |
$4,242.15
|
| Rate for Payer: PHP Medicaid |
$4,040.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,040.14
|
| Rate for Payer: UHCCP Medicaid |
$4,040.14
|
|
|
APR-DRG 42.00: CONCUSSION, CLOSED SKULL FRACTURE NOS, AND UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HOUR OR NO COMA
|
Facility
|
IP
|
$5,276.82
|
|
|
Service Code
|
APR-DRG 0572
|
| Min. Negotiated Rate |
$5,025.54 |
| Max. Negotiated Rate |
$5,276.82 |
| Rate for Payer: BCBS Complete |
$5,276.82
|
| Rate for Payer: Mclaren Medicaid |
$5,025.54
|
| Rate for Payer: Meridian Medicaid |
$5,276.82
|
| Rate for Payer: PHP Medicaid |
$5,025.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,025.54
|
| Rate for Payer: UHCCP Medicaid |
$5,025.54
|
|
|
APR-DRG 42.00: CONCUSSION, CLOSED SKULL FRACTURE NOS, AND UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HOUR OR NO COMA
|
Facility
|
IP
|
$3,673.08
|
|
|
Service Code
|
APR-DRG 0571
|
| Min. Negotiated Rate |
$3,498.17 |
| Max. Negotiated Rate |
$3,673.08 |
| Rate for Payer: BCBS Complete |
$3,673.08
|
| Rate for Payer: Mclaren Medicaid |
$3,498.17
|
| Rate for Payer: Meridian Medicaid |
$3,673.08
|
| Rate for Payer: PHP Medicaid |
$3,498.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,498.17
|
| Rate for Payer: UHCCP Medicaid |
$3,498.17
|
|
|
APR-DRG 42.00: CONCUSSION, CLOSED SKULL FRACTURE NOS, AND UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HOUR OR NO COMA
|
Facility
|
IP
|
$7,397.89
|
|
|
Service Code
|
APR-DRG 0573
|
| Min. Negotiated Rate |
$7,045.61 |
| Max. Negotiated Rate |
$7,397.89 |
| Rate for Payer: BCBS Complete |
$7,397.89
|
| Rate for Payer: Mclaren Medicaid |
$7,045.61
|
| Rate for Payer: Meridian Medicaid |
$7,397.89
|
| Rate for Payer: PHP Medicaid |
$7,045.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,045.61
|
| Rate for Payer: UHCCP Medicaid |
$7,045.61
|
|
|
APR-DRG 42.00: CONCUSSION, CLOSED SKULL FRACTURE NOS, AND UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HOUR OR NO COMA
|
Facility
|
IP
|
$12,467.77
|
|
|
Service Code
|
APR-DRG 0574
|
| Min. Negotiated Rate |
$11,874.07 |
| Max. Negotiated Rate |
$12,467.77 |
| Rate for Payer: BCBS Complete |
$12,467.77
|
| Rate for Payer: Mclaren Medicaid |
$11,874.07
|
| Rate for Payer: Meridian Medicaid |
$12,467.77
|
| Rate for Payer: PHP Medicaid |
$11,874.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,874.07
|
| Rate for Payer: UHCCP Medicaid |
$11,874.07
|
|
|
APR-DRG 42.00: CONNECTIVE TISSUE DISORDERS
|
Facility
|
IP
|
$8,587.76
|
|
|
Service Code
|
APR-DRG 3463
|
| Min. Negotiated Rate |
$8,178.82 |
| Max. Negotiated Rate |
$8,587.76 |
| Rate for Payer: BCBS Complete |
$8,587.76
|
| Rate for Payer: Mclaren Medicaid |
$8,178.82
|
| Rate for Payer: Meridian Medicaid |
$8,587.76
|
| Rate for Payer: PHP Medicaid |
$8,178.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,178.82
|
| Rate for Payer: UHCCP Medicaid |
$8,178.82
|
|